Comparison

OpenEMR vs Practice Fusion

No clear leader: OpenEMR (36.7) and Practice Fusion (35.4) are within the 5-point margin; treat as a tie. The attribute-by-attribute breakdown below, with a source and date on every value, is the honest way to compare them.

Machine formatsMarkdownJSONGraphQLMarkdown is open. JSON and GraphQL need a free key.
OpenEMR37
Practice Fusion35
Score
vioscaleAI score
OpenEMR37 / 100medium · 63%
Practice Fusion35 / 100high · 75%
Pricing
Free tier
OpenEMR✓
Practice Fusion✗
Model
OpenEMRfree
Practice Fusioncommercial
Price level
OpenEMRfree
Practice Fusionhigh
Starting price
OpenEMR$70
Practice Fusion$199
Transparent
OpenEMR✗
Practice Fusion✓
Integrations
Count
OpenEMR1
Practice Fusion9
Security
Certifications
Practice Fusion–
Gdpr
OpenEMR✓
Practice Fusion–
Hipaa
OpenEMR✓
Practice Fusion✓
Reliability
Status page
OpenEMR–
Practice Fusion✓
Adoption
Dependent repos
OpenEMR0
Practice Fusion–
Github stars
OpenEMR119
Practice Fusion–
Activity
Commits last 30d
OpenEMR10
Practice Fusion–
License
Spdx
OpenEMRGPL-3.0
Practice Fusion–
Language
Primary
OpenEMRShell
Practice Fusion–
Content
Faq
OpenEMR7 items
Practice Fusion7 items

Capabilities

Feature-by-feature on the axes that matter for healthcare software. “-” means undocumented, not absent.

Core
Product type
OpenEMREHR/EMR
Practice FusionEHR/EMR
Care setting
OpenEMRAmbulatory / outpatient
Practice FusionAmbulatory / outpatient
Compliance
HIPAA compliant / BAA available
OpenEMR✓
Practice Fusion✓
ONC Health IT certified
OpenEMR✓
Practice Fusion-
HITRUST CSF certified
OpenEMR-
Practice Fusion✗
Clinical
e-Prescribing with EPCS (controlled substances)
OpenEMR-
Practice Fusion-
Built-in telehealth / video visits
OpenEMR✓
Practice Fusion✗
Interoperability
Interoperability standards
OpenEMRFHIR / SMART on FHIR
Practice FusionHL7 v2
Engagement
Patient portal
OpenEMR✓
Practice Fusion✓
Financial
Revenue-cycle / medical billing
OpenEMR✓
Practice Fusion✓
Deployment
Deployment
OpenEMROn-premises
Practice FusionCloud / SaaS
Pricing
Pricing model
OpenEMR-
Practice FusionPer provider / clinician
Market
Target segment
OpenEMRClinic / group practice
Practice FusionSolo / independent provider

What each one is

The product in its own terms, so the numbers below have context.

OpenEMR

Free, open-source EHR and practice management platform available for self-deployment or as a managed cloud service. ONC-certified and HIPAA-compliant, designed for ambulatory healthcare practices with integrated clinical workflows and medical billing.

Independently observed

Practice Fusion

Practice Fusion is an integrated EHR and practice management solution that helps independent practices efficiently manage patient records, clinical data, billing, and practice operations.

Independently observed

Pricing

List pricing as published by each vendor, with the date we read it. Always verify at the source before you buy.

OpenEMR

from $70/moHybridFree tier

Free open-source or managed cloud starting at ~$70/month

  • Self-Hosted (Open Source)Free
  • Cloud Standard EditionStarting at approximately $70/month with no per-provider charges
as of verify ↗

Practice Fusion

from $199/provider/moSubscription

Starting at $199/month per provider. Free trial available.

  • Provider$199/month per provider
as of verify ↗

Platform & deployment

Where each product runs and how it can be hosted. A dash means undocumented, not unsupported.

Platforms
Web
OpenEMR✓
Practice Fusion✓
Windows
OpenEMR✓
Practice Fusion✗
Linux
OpenEMR✓
Practice Fusion✗
Deployment
Cloud / SaaS
OpenEMR✓
Practice Fusion✓
Self-hosted
OpenEMR✓
Practice Fusion✗
On-premise
OpenEMR✓
Practice Fusion✗
Hybrid
OpenEMR✓
Practice Fusion✗

Integrations

What each product connects to. Counts come from the vendor's own integration directory where one exists.

OpenEMR

1 total
  • ClaimRev Clearinghouse Module
Independently observed

Practice Fusion

9 total
  • Updox
  • CoverMyMeds
  • Surescripts
  • LabCorp
  • Medi-Span
  • Emdeon
  • HLI
  • Carequality
  • Dynamsoft
Independently observed
Still deciding?

OpenEMR or Practice Fusion: which one depends on you

A composite score cannot know your constraints. Describe them and both get re-weighted against what you actually need, with the evidence behind every position.

Free to run, no account needed to start. How the evaluation works

Comparison generated from independently-sourced facts. Every value links to its source and retrieval date. See the method.